Psychoanalytic Social Work · 2005 · 38 citations · 21 references
Social SciencesPsychiatryPsychologyAbnormal PsychologySelfTransgender StudiesGender IdentityTrans StudiesTrans TheoryCoping StylesIdealized Self-presentationPathologization Of Trans IdentitiesPositive Identity DevelopmentTrans IdentityTrans SexualityTrans Subjectivity
Abstract The few published psychoanalytic writings that exist regarding transsexual men and women tend to focus on the etiology of their gender identities and almost invariably define these patients as inherently pathological. Such myopic viewpoints leave no room for analysis and discussion of the transsexual patient's normal developmental process. In this paper, I use a Kleinian framework to depathologize the coping strategies employed by transsexual patients and to illustrate the importance of mourning in the development of a positive transsexual identity. A clinician who is able to sit comfortably with contradiction may facilitate the transsexual patient's mourning process—saying goodbye to the persecutory object of the past and letting go of the idealized image of the future.
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